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Individual

DR. CRAIG ALLEN KORNICK

Active
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Individual

DR. CRAIG ALLEN KORNICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
ME82614
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01896
BLUE CROSS BLUE SHIELD
FL
01
217227
HEALTHEASE
FL
05
26192880
FL
01
3046289
AETNA
FL
01
5849952001
CIGNA
FL
Enumeration date
06/30/2005
Last updated
02/24/2017
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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